Active NPI
Richard James Whitman, DDS
- General Practice Dentistry
- Omaha, NE
National Provider Identifier
1407921463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4474
- Practice address
- 900 S 74TH PLZ
Suite 300
Omaha, NE 68114-4667 - Phone
- (402) 884-1002
- Fax
- (402) 905-2434
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4474 | NE | Primary |
Addresses
Primary practice location
900 S 74TH PLZ
Suite 300
Omaha, NE 68114-4667
Mailing address
900 S 74TH PLZ
Suite 300
Omaha, NE 68114-4667
Phone (402) 884-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4474 | NE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1407921463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S 74TH PLZ",
"address_2": "SUITE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144667",
"telephone_number": "402-884-1002",
"fax_number": "402-905-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 74TH PLZ",
"address_2": "SUITE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144667",
"telephone_number": "402-884-1002",
"fax_number": "402-905-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITMAN",
"first_name": "RICHARD",
"middle_name": "JAMES",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NE",
"license": "4474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.